In this episode, we cover a wide range of topics related to diabetes, weight loss, and bariatric surgery. We kick things off by talking about the underlying cause of diabetes. Most people believe that diabetes is caused by an over consumption of carbohydrates. But that’s incorrect. In fact, studies show that the consumption of animal fat is what causes your insulin receptors to become less sensitive. 
 
 Next, we answer the question, “How long should you be on the Metabolic Reset Diet?” It’s a question we get asked daily and, as usual, the answer isn’t universal. Rather, it’s about determining what things you need to change in order to make the Metabolic Reset Diet work for you long-term. We offer practical advice on how to do this.
 
 Next, we tackle weight regain after bariatric surgery, especially for those who’ve had a sleeve gastrectomy (VSG). Almost half of patients deal with weight regain, and it’s not just about eating too much or slacking on exercise. The conversation dives into why this happens, focusing on hormonal changes and the body's natural resistance to weight loss. We also talk about how combining surgery with medications like GLP-1s can help manage weight over the long term.
 
 Finally, we share some tips on how to minimize hair loss after bariatric surgery. It’s a common concern for most patients. We cover practical ways to reduce hair thinning, including preventative measures like proper nutrition, key supplements, and medication to build reserves that assist in keeping as much of your hair as possible after surgery.

In this episode, Laura, a previous guest on the podcast, returns to share more about her successful peer support group for those who have undergone weight loss surgery. The conversation revolves around the value of community and how it provides a sense of connection and understanding for people on their weight loss journeys. Laura's group, lovingly nicknamed "Laura's Losers," meets regularly to offer emotional support, share personal stories, and discuss tips for staying on track.

Laura emphasizes the importance of creating a welcoming, living-room-style atmosphere where participants can openly discuss their struggles, especially around topics like post-op stalls and feeling isolated. She shares her own experiences, including her recent vacation where she was able to indulge mindfully while still staying true to her health goals. This helps alleviate some of the common fears that new patients have about life after surgery.

The conversation touches on the emotional toll of weight loss, particularly the societal pressure and feelings of guilt that many people face. Laura, along with the hosts, stress the importance of self-compassion and avoiding the trap of perfectionism. They remind listeners that there is no "finish line" when it comes to health, and that setbacks are a normal part of the journey.

The episode ends with a discussion of future plans for the group, including in-person meetups and continued support, underscoring the ongoing importance of community in long-term weight loss success.

Episode 31 of The Pound of Cure Weight Loss Podcast is titled, Obesity Discrimination is Alive and Well, Just Ask Chris. The title comes from our In the News segment where we talk about an article from The Maine Wire that examines a lawsuit filed against Cigna claiming that obesity is a disability and Cigna’s failure to cover GLP-1 medications constitutes discrimination based on disability. 

 In our Patient Story segment, we talk to Nikki. Though not a patient of ours, Nikki had a gastric bypass back when the procedure was done by opening up the stomach to operate. She also works for a great organization called Obesity Help. A lot has changed since her surgery and she is here to share her experience as well as talk about all the great things Obesity Help is doing for the bariatric community. 

 Reading the nutrition facts label can be confusing. This is not by accident. Big food companies have influenced the label design in order to confuse consumers into thinking foods are healthier than they actually are. So, in our Nutrition segment, Zoe offers some tips on how to navigate the nutrition facts label. 

 In our Economics of Obesity segment, we dive into the cost of obesity and whether or not it’s financially viable for insurance companies to cover expensive treatments like GLP-1 medications. 

 Finally, we answer 3 of our listeners questions including, what can be done to prevent gallstones after bariatric surgery, our thoughts on oats in almond milk, and whether or not taking GLP-1 medication before surgery increases postop weight loss.

 Here is the information referred to in the Patient Story:
 https://www.obesityhelp.com/events/tickets/ -Promo Code: POUNDOFCURE25 for $25 off through 7/7/24 

https://www.obesityhelp.com/events/speakers/ -More coming 

https://www.obesityhelp.com/events/hotel-accommodations-2/

https://www.facebook.com/events/s/bariatric-connect-2024-nationa/739412618351241/

https://www.obesityhelp.com/articles/2024-bariatric-connect-scholarship-tickets/

 nikkih@obesityhelp.com

Episode 30 of The Pound of Cure Weight Loss Podcast is titled, GLP-1 Supplement Scams.
 
 In our In the News segment, we cover an article in Today titled, Poppi Prebiotic Soda Brand Faces Class-Action Lawsuit Over Gut Health Claims. Poppi is a brand of soda marketed as a prebiotic and this lawsuit is questioning the validity of the claim. 
 
 In our Patient Story segment, we talk to Graham who had a highest weight of 311 pounds. He opted for the gastric bypass and we included GLP-1 medications along the way. He is now comfortable sitting at 168 pounds. Not only did he embrace the medical treatments we offered but he also embraced strength training as another tool to help maintain that weight loss. His story is very poignant for anyone interested in sustainable weight loss. 
 
 In our Nutrition segment, we dive into another product review. Biocare is a supplement being marketed to GLP-1 users offering to, “Scientifically Help Reduce Side Effects, Preserve Lean Muscle Mass & Provide Essential Nutrition.” Does it work? Tune in to find out!
 
 Anytime a new FAD diet emerges, the food, beverage, and service companies scramble to create products to fit the new trend. And, over the past year or so, we’ve seen this happen in the GLP-1 space. So, in our Economics of Obesity segment, we dive further into the growing market of GLP-1 supplements and services. 
 
 Finally, we answer 3 of our listeners questions including, our thoughts on Phentermine, when to start taking your vitamins post-op, and how to navigate the GLP-1 shortages. 

Episode 29 of The Pound of Cure Weight Loss Podcast is titled, Wegovy for the Long Run. The title comes from our In the News segment where we discuss an article in US News titled, More Studies Support Wegovy's Long-Term Weight-Loss Benefits. This article details the outcomes of the Select trial which showed that long-term use of Wegovy provided continued weight loss and cardiovascular benefits. 
 
 In our Patient Story segment, we talk to Armetta - one of my most memorable patients. She ended up having surgery in Mexico because of an exclusion policy on her insurance plan. After a serious complication, she became one of my double black diamond cases, and her insurance company ended up spending 1.5 million dollars on her treatment because of the complication. It’s a fascinating story.
 
 Before the invention of popular sports drinks, most people didn’t know what electrolytes were. Now it’s one of our most frequently asked questions. Do you really need to drink sports drinks to replenish your electrolytes? Zoe answers this question in our Nutrition segment.
 
 In out Economics of Obesity segment, we talk about going to Mexico for bariatric surgery. Many people choose this option thinking that it’s less expensive. But when 95% of all insurance plans cover bariatric surgery coupled with the higher complications rates and lack of post-op care, is it really the best choice? 
 
 Finally, we answer 3 of our listeners questions including, whether or not the Metabolic Reset Diet works for Vegans, the mechanics of the sleeve that contribute to GERD, and what strategies to employ to maintain your weight while on GLP-1 medications.

Episode 28 of The Pound of Cure Weight Loss Podcast is titled, How a Gastric Bypass Could Ruin Your Life. 

The title comes from our In the News segment we cover an article in Medscape titled, Alcohol to Blame: Weight Regain After Bariatric Surgery. It should come as no surprise that alcohol consumption could lead to weight gain. What could be surprising is the 5x increased risk of alcoholism after a gastric bypass and 2x increased risk of alcoholism after a sleeve. Tune in to learn why!

In our Patient Story, we talk to Janet about her struggle to lose weight after surgical menopause. As a nurse she was conflicted about working in the healthcare industry because she was battling her own weight issues. She tried everything to lose weight on her own but nothing worked. Finally, she reached out to us for help. 

In our Nutrition segment, Zoe is back from her honeymoon with some great tips on how to avoid weight gain while on vacation. It’s a common-sense approach that won’t rob you of your fun or enjoyment of food. 

In our Economics of Obesity segment, we talk about how much money people spend on weight loss medications and the socioeconomic aspects of GLP-1 use. Would you be surprised to know that more than half of all GLP-1 users pay less than $50 per month? 

Finally, we answer 3 of our listeners questions including, our thoughts on green drinks, how to lose more weight after a permanent stall, and how to avoid losing too much weight after surgery.

Join us as we dive in on our most recent episode of the Pound of Cure Weight Loss Podcast titled, Ozempic, baby!

Episode 27 kicks off with our In the News segment where we discuss an article by CNN that discusses how GLP-1’s are increasing fertility. This comes as no surprise considering we saw the same results after weight loss surgery. So why do GLP-1’s and weight loss surgery cause increased fertility? Tune in to find out!
 
 In our Patient Story, we talk to Lacey who came to us for help after she regained weight approximately 7-8 years post gastric sleeve. We got her on a GLP-1 medication and she has since lost all of her regain and is back to her postop weight. She is now considering creative dosing strategies for weening off the meds and we offer advice on how to do this without regaining weight.
 
 In our Nutrition segment, Deidre offers advice on how to eat at restaurants and enjoy your meal without destroying your weight loss progress. There are 2 different approaches and frequency is key.

 Finally, we answer our listener’s questions including, whether or not Trulicity damages the Vagus nerve, will a revision cause additional weight loss, and our thoughts on the product label statement "Discontinue Ozempic in women at least 2 months before a planned pregnancy".

Episode 26 of the Pound of Cure Weight Loss Podcast is titled, Ablation Conflation and Healthcare Inflation. The title comes from our In the news segment where we discuss an article from Forbes about a new bariatric procedure called Gastric Mucosal Ablation. This procedure uses a laser to burn the Fundus Mucosa. Does it work? And, will this procedure cause long-term weight loss? Tune in to find out! 

In our Patient Story, we talk to Barb who is our Bariatric Coordinator. Barb is unique in that she is a Registered Nurse, has worked in the industry for decades, and is also a bariatric patient. She started with a lap band which was revised to a gastric bypass and is now on GLP-1 medications to help control her weight regain.

In our Nutrition segment, Deidre talks about the benefits of walking after eating. This is especially good for bariatric surgery patients but also aids in digestion for those who haven’t undergone surgery.

In our Economics of Obesity segment, we talk about what to do if you need bariatric surgery and you either don’t have insurance or your insurance won’t cover the surgery. Should you travel to another country where the self-pay costs are cheaper? Dr. Weiner addresses the options for those without coverage for bariatric surgery.

 Finally, we answer 3 of our listeners questions including, whether Ozempic could stop working, constipation after surgery, and alternative options for Protein Pump Inhibitors (PPI’s). 

Episode 25 of The Pound of Cure Weight Loss podcast is titled, From 369.5 to 19,341: Lynsey’s journey to the top of Mount Kilimanjaro. The title comes from our Patient Story where we talk to Lynsey who came to us at 369.5 pounds. She lost a ton of weight after her gastric bypass but she didn’t stop there. She embraced physical activities that led her to the tallest free-standing mountain in the world! Her story is truly inspiring!
 
 Our In the News segment features an article from US News that talks about another beneficial side effect of taking Zepbound. In clinical trials, Zepbound has been proven to drastically reduce sleep apnea. Does that mean that insurance companies will now approve the use of Zepbound for the treatment of sleep apnea? Tune in to find out!
 
 BMI or Body Mass Index is a measure of body fat based on height and weight. It’s used, almost universally, by both the medical and insurance industries. In our Nutrition segment, Zoe explains why BMI is unreliable and, in her words, “trash”.
 
 The Zepbound shortage has left a lot of people struggling without their medication. So, in our Economics of Obesity segment, we talk about the Wegovy coupon and how some patients may be able to switch from Zepbound to Wegovy to help get them through.
 
 Finally, we answer 3 new questions from our listeners including, our thoughts on Poppi prebiotic soda, whether or not Medicare will cover revision surgery, and hypoglycemia while taking GLP-1 medication. 

Episode 24 of The Pound of Cure Weight Loss podcast is titled, Zepbound to happen: More Drug Shortages. The title comes from our Economics of Obesity segment where we discuss the Zepbound shortages and offer strategies that you can use to ride out the shortage. 

In our In the news segment, we discuss an article from the New York Times titled, The Miracle Weight-Loss Drug Is Also a Major Budgetary Threat. In the United States, we pay more for medication than any other country in the world - often 3-4 times more. So, what can we do to bring those prices down? Tune in to find out!

In our Patient Story, we talk to Janet who started gaining weight after pregnancy. She lost well over 100 pounds on Mounjaro and is currently using a creative dosing strategy to save money during maintenance. 

For the first few months after surgery and while taking a GLP-1 medications, you might not feel like eating but your body still needs fuel. So, in our Nutrition segment, Zoe offers advice about what to do when you just don’t feel like eating.

Finally, we answer 3 of our listeners' questions including, how to transition from weight loss to weight maintenance, why does a revision carry more risk, and how to keep your set point lower while on weight gaining medications.

Episode 23 of the Pound of Cure Weight Loss Podcast is titled, Big Food, Big Pharma, Big Lies. The title comes from our In the News segment where we discuss an article we found on Yahoo that talks about how big food makers like General Mills are paying social media dietitian influencers to push their products as part of the anti-diet movement. They are actually telling people that products like Coco Puffs are part of a healthy lifestyle! Insane!
 
In our Patient Story, we talk to Lupe who came to us on a recommendation from her Primary Care Physician. She ended up having a Gastric Bypass and needed GLP-1 medications to increase her weight loss. She is now helping her whole family make positive changes in their lives. 
 
In our Nutrition segment we talk about the single most important strategy to elicit support from your friends and family on your weight loss journey.
 
In our Economics of Obesity segment we dive into how the gaming of the drug patent process played a role in the generic drug release timeline for Ozempic. It’s Part 2 of our two-part series on drug patents and in it we’ll share when Ozempic will be eligible for a generic version. 
 
Finally, we answer 3 questions from our listeners including, serving size after surgery, compounding pharmacies, and what comes after the Metabolic Reset Diet. 

 Episode 22 of The Pound of Cure Weight Loss podcast is titled, Hot Diggity Dog - Costco’s New Weight Loss Program. The name comes from our In the News segment where we talk about how Costco is entering the medical weight loss space. We dive into what this means for GLP-1 access and whether or not patients benefit. 
 
 In our Patient Story segment, we talk to Suzanne who gained weight later in life after an early and then late pregnancy. She had some moderate success losing weight on her own but ended up hitting a stall that she couldn’t overcome so she reached out to us for help. 
 
 Zoe shares a strategy on how to incorporate new habits in our Nutrition segment. And Dr. Weiner begins a two-part series on drug patents in our Economics of Obesity segment. Part 1 focuses on how drug patents work and how the system can be manipulated to favor the pharmaceutical companies over patient care. Part 2 will air next week. 
 
 We also answer 3 listener submitted questions including, homemade pizza made with cauliflower crust, veggies, and vegan cheese, our thoughts on Contrave, and diagnostic pattern dumping after surgery. 

Finally, some exciting news this week! We have added a new Weight Regain program to the practice. This program incorporates the expertise of both myself and Zoe and utilizes nutrition, GLP-1 medication, and behavior modification to help you lose the regain and keep it off. Plus! It’s available to anyone in the country.
 

In this discussion about bariatric meal prep and bariatric meal plans, Kristen Willard shares valuable tips for both patients who have undergone bariatric surgery and patients who are using a non-surgical approach to weight loss. The main focus is simplicity and practicality in creating meal plans. Kristen suggests starting meal prep with the meal you find most difficult, like breakfast, rather than feeling overwhelmed by prepping every meal at once. This gradual approach helps build confidence.

When it comes to bariatric meal prep, Kristen advocates for a flexible, ingredient-focused method. For example, cooking chicken in a slow cooker with salsa can serve as multiple meals, like in a lettuce wrap or a salad. This ensures variety without the need for extensive prep time. Additionally, Kristen emphasizes the importance of flavor to keep meals interesting by changing spices, sauces or dressings, preventing boredom from repetitive meals.

She also discusses strategies for getting kids to eat healthy. Kristen highlights the value of involving children in meal planning and meal prep, making it a family effort. By giving them choices between healthy options, kids feel more empowered and are more likely to enjoy the meals. She encourages parents to lead by example, showing that healthy eating can be enjoyable for everyone in the household.

Finally, Kristen recommends useful kitchen gadgets like an Instant Pot and a vegetable chopper to save time in prepping ingredients, making the process more manageable. Kristen's philosophy is that meal prep doesn’t have to be complicated; focusing on simple steps can lead to sustainable habits.

Episode 21 of The Pound of Cure Weight Loss podcast is titled, Vial Denial and the GLP-1 Shortage. The name comes from our Economics of Obesity segment where we discuss the GLP-1 shortage and how it’s caused by the inability to procure injector pens. Canada recognized this issue a while back and allowed pharmaceutical companies to use single dose vials instead of injector pens. So why aren’t we using single dose vials in the United States? I have some opinions about it.

Our In the News segment comes from an article in Reuters about how Viking Therapeutics is developing a weight loss medication that can be taken orally. The Medication is similar to Mounjaro and Zepbound in that it is both a GLP-1 and a GIP and the initial studies show better weight loss with more responders than Ozempic, Wegovy, Mounjaro, and Zepbound in the injectable version. Is the oral version going to be as effective? Tune in to find out!

In our Patient Story, we talk to Shenelle who is a very successful recovering alcoholic and drug addict. She started her weight loss journey after getting sober and is now a coach for bariatric patients struggling with food addiction. Her story of perseverance is truly inspiring.

Zoe introduces the Emotional Eating Umbrella in our Nutrition segment. This is a concept she created to help quantify and qualify all the different attributes that encompass emotional eating so that we can develop new coping strategies for each individual trigger. 
 
Finally, we cover a few of our listener submitted questions including, thoughts on the Keto+ ACV gummies, Omeprazole after surgery, and nutrition and medication changes before pregnancy.

Episode 20 of The Pound of Cure Weight Loss podcast is titled, Here Wegovy: Medicare Coverage for Heart Disease. We called it that because of the NPR article we cover in our In the News segment which states that Medicare will now cover Wegovy for patients who are overweight and suffer from heart disease. How does this impact the future of GLP-1 medications? Tune in to find out.
 
 In our Patient Story, we talk to Larry. He came to us after receiving a high blood pressure diagnosis from his primary care physician. He didn’t want to take medication for the rest of his life so he decided to embrace a gastric bypass and has surpassed our expectations of weight loss by combining the surgical tool with weight training. It’s a truly inspiring story.
 
 In our Nutrition segment, Zoe offers her #1 tip for grocery shopping that will encourage you to be successful in your weight loss efforts.
 
 Our Economics of Obesity segment covers the GLP-1 shortage. Mounjaro, Wegovy, Zepbound, Saxenda, Trulicity, and Ozempic are on the shortage list. So we are offering some creative solutions to get you through.
 
 Finally, we answer 3 of our listener’s questions including, fluid choices for energy and hydration, whether or not revision surgery causes the same amount of weight loss as the initial surgery, and exercise recommendations after weight loss surgery.

If you have a question that you'd like for us to answer on the podcast, please reach out to us through social media (Instagram, Tik Tok, Facebook or YouTube), or the website.

Have you ever lifted weights and felt a surge of accomplishment that goes beyond physical strength? Uncover the transformative power of weightlifting, not just for your body, but  also for your mind. Our 19th episode is a celebration of perseverance, unveiling our Weight Regain program tailored for those who've faced setbacks after bariatric surgery. We delve into personalized regimens, group support, and the game-changing use of GLP-1 medications, alongside The Metabolic Reset Diet. Plus, we're bringing you fascinating insights on how weightlifting can be a powerful ally against mental health struggles like anxiety and depression.

Journey with us as Lori recounts the crucial steps she took on her path to gastric bypass surgery, underscoring the importance of 'head work' in achieving health goals. Her narrative is a profound look at the transformative shifts in mindset necessary for long-term wellness. Lori's story isn't just about the weight she lost; it's about the determination and reframed perspective that guided her success. We'll also navigate through the crucial aspects of sleep hygiene and the economics of obesity, providing actionable advice to enhance your overall health and understand how small changes can lead to significant impacts.

Lastly, we're examining the evolution of pharmacy services, discussing Lilly's direct pharmacy model and Amazon's foray into the industry. What could these mean for patient access to essential medications? Moreover, we address listener questions about gut health post-bariatric surgery, emphasizing the importance of a balanced diet for a thriving microbiome. And for those curious about medication safety, we take a firm stance on the risks and ethics of prescribing compounded medications. Tune in for a comprehensive exploration of health, fitness, and the innovative changes sweeping through pharmacy care.

In this episode, we discuss the emotional toll of weight bias, the promise of medications like Ozempic, and the urgent need for accessibility and affordability in obesity treatments. We also delve into the inspiring stories of individuals on the path to better health, including Bev, who shares her impressive weight loss and improved mobility story. Plus, get ready to challenge misleading health claims and learn how to make more informed decisions in the grocery aisle. Don't miss this thought-provoking discussion on the economics of obesity and the small steps that lead to a sustainable lifestyle overhaul.

In our first chapter, we dive into Oprah's special on obesity, where she opens up about her personal struggles and highlights the importance of unbiased storytelling. We explore the effectiveness of weight loss medications and the need for greater accessibility and affordability in obesity treatments. Join us as we unpack the emotional toll of weight bias and the promise of a healthier future.

In the second chapter, we are inspired by Bev's incredible weight loss journey and her transformation towards improved mobility. We explore the challenges of weight loss, the role of surgical intervention, and the importance of maintaining mobility as we age. Bev's story highlights the transformative power of shedding pounds and gaining strength, vitality, and a healthier life. Tune in to hear her inspirational journey towards better health and the ongoing goals required for long-term success.

In our final chapter, we take a practical approach to goal-setting within our Smart Support Squad for nutrition. We discuss the importance of setting realistic, measurable, and achievable goals for sustainable habit change. We also shed light on the deceptive nature of health halos and provide tips on how to navigate misleading food labels. Join us as we arm you with the knowledge to make more informed decisions in the grocery aisle and embark on a better weight loss journey.

Ever wonder how to silence that incessant chatter in your brain that's always talking about food? This episode of the Pound of Cure Weight Loss podcast we delve into the role of GLP-1 medications like Ozempic, bariatric surgery, and proper nutrition in quieting 'food noise.' Our guest, Josh, shares his awe-inspiring weight loss journey, shedding 160 pounds through bariatric surgery and  incremental fitness SMART goals. His story is a testament to the power of finding joy and community in exercise, from walking to hitting home runs with his softball team.

Picture a space where men can candidly discuss their triumphs and trials, especially when it comes to the sensitive subject of bariatric surgery recovery. As a male peer leader, I've seen firsthand the transformative power of such support groups. We shed light on the unique challenges men face post-surgery and the incredible benefits of having a tailored community. But that's not all - we also navigate the complex terrain of nutrition and medication access, revealing how our program arms you with the skills for sustainable meal planning and tackling real-life obstacles to obesity treatment.

As we wrap up another enlightening conversation, remember to enrich your weight loss journey by connecting with our broader community. Follow us on social media for daily doses of inspiration, and don't hesitate to share the podcast with anyone who could use a helping hand in their health quest. Josh's success story could be just the motivation someone needs to take that first step towards a lifestyle transformation. Join us as we continue to break down barriers and build up spirits on the Pound of Cure Weight Loss podcast.

Embark on a journey with us as we explore a new weight loss medication by Viking Therapeutics. We delve into a comparison between it and established drugs like Ozempic, and peek into the pipeline of potential game-changers from Pfizer, AltImmune, and Amgen.

Stir up your culinary creativity with our Greek yogurt and apple protein bowl recipe, a delectable treat that hits the sweet spot without the sugar crash. We also tackle the cost-saving strategies for extending the life of your Ozempic pen. Listen closely for the inside scoop on economical health hacks without compromising safety, and round out the episode with 3 questions from our listeners. Join us on this balanced adventure through the realms of health, nutrition, and economic savvy.

Ever wondered how the convoluted marketing strategies of Medicare Disadvantaged Plans influence our healthcare choices? Join us as we unravel the complexities of these plans, and the limitations seniors face when choosing a Medicare plan. During a riveting general surgery marathon at Tucson Medical Center, I was reminded of how our personal health journeys intertwine with the broader healthcare narrative. We'll also celebrate life's milestones, from weddings to weight loss triumphs, and discuss  maintaining muscle while you melt away the pounds. We also offer insights from our guest Elizabeth, who tackles the tough topic of obesity bias within the weight loss surgery community.

Weight regain can be a daunting prospect after the triumph of weight loss surgery. Hear the story of one individual's experience with vertical sleeve gastrectomy, her subsequent weight regain, and how GLP-1 medications like Ozempic and Mounjaro have become game-changers in maintaining control. We'll dig into the biological factors of weight control and the diverse responses to GLP-1 medications among those with and without a history of surgical weight loss. It's an eye-opening glimpse into the ongoing battle for sustained health and the critical role of medications post-surgery.

Join our conversation on the power of community post-weight loss surgery, GLP-1 medications, obesity bias, and how to preserve muscle while losing weight. We round up with a look at delicious, healthy pasta options and practical tips for preventing weight regain after gastric sleeve surgery. Tune in for a hearty dose of knowledge and motivation to fuel your journey toward a healthier you.

Episode 14 kicks off with a Kohlrabi recipe from Dr. Weiner and continues with tales of variable reactions to GLP-1 medications like Ozempic, the conundrum of weight regain post-VSG surgery, and the intricate dance of GLP-1 dosing. Join our circle as we converse on genetic factors influencing treatment efficacy, the alternatives for the non-responders, and the art of maintaining an injury-free fitness routine, and the all-too-common hidden sugars lurking in protein bars.

Facing obesity is an odyssey of both heartache and hope. Our guest, Chrisse opens up about her own struggles with obesity, the back injury that compounded it, and the undulating path of weight management post-bariatric surgery. She also talks about the emotional weight of obesity that often escapes the empathy afforded to other conditions. Together, we underscore the vital role of community and the unyielding spirit necessary to navigate these turbulent waters.

Brace yourself for life-altering insights as Zoe, our personal trainer and registered dietitian, bestows her wisdom on both nutrition and exercise, offering actionable advice to steer clear of injuries and elevate your fitness journey. As we marvel at the athletic longevity of the legendary Tom Brady, we also tackle the pressing issue of obesity medication access, dissecting the hurdles faced by patients and healthcare providers alike. This episode is a heartfelt symphony of health and wellness, aiming to change the narrative around the pursuit of a healthier life.

Ever wondered how setting smart goals could redefine your health journey? Prepare to be inspired as we unveil a revolutionary goal tracker. In our nutrition program we tackle the Ozempic debate head-on, refocusing on its clinical prowess for those battling obesity and diabetes. Episode 13 isn't just about the nuts and bolts of health tech; it features the powerful narrative of our patient story, Laura, a peer leader whose story of triumph underscores the monumental difference community support can make in our lives.

Big Pharma, insurance profits, and healthcare policies might sound like a snooze fest, but not the way we talk about them! We're dissecting the economic barriers to life-changing GLP-1 medications and offering up real solutions to make them accessible for everyone who needs them. But it's not all policy talk; we hear firsthand experience in building a community where health and weight management are open-book subjects, proving that the right support system is a catalyst for lasting wellness.

Finally, imagine facing the post-bariatric surgery world without a compass—daunting, right? We're here to map out that journey, emphasizing the importance of peer support, hydration, movement, and the tailored nutritional strategies you'll need, especially if you're a weightlifting warrior. As we answer your questions on everything from Pfizer's weight loss pill to doctors' nutrition education, get ready for an episode that's packed with actionable advice, real talk, and the kind of storytelling that doesn't just inform—it transforms.

In Episode 12 of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and dietitian Zoe Schroeder tackle essential topics for anyone on a weight loss journey, from understanding “dietitian vs. nutritionist” to exploring weight loss medications like GLP-1s and discussing revisions in weight loss surgery. This episode offers guidance and practical advice on balancing these tools for sustainable weight loss.

Celebrating Independence and Patient Advocacy

Dr. Weiner and Zoe open with a celebration of their practice’s one-year anniversary. As an independent practice, they emphasize how this autonomy enables them to focus on patient-centered care, unencumbered by larger healthcare networks. Dr. Weiner highlights the commitment to advocating for patients, particularly in navigating difficult insurance processes.

“If you hate your health insurance company, then you’ve got an ally in us,” Dr. Weiner says.

Dietitian vs. Nutritionist: Know the Difference

Zoe clarifies the crucial differences between dietitians and nutritionists, especially relevant for bariatric patients seeking dietary guidance. She explains that a “dietitian” must meet strict educational and licensing requirements, while “nutritionist” is an unregulated title. This distinction matters for patients who need specialized, evidence-based care.

Dr. Weiner advises, “Think of a dietitian as the medical professional. The education and licensing make a difference.”

Weight Loss Medications: GLP-1s and Insurance Barriers

The episode dives into the history and impact of GLP-1 weight loss medications, specifically Wegovy (semaglutide) and Zepbound (tirzepatide), which help lower the body’s setpoint and reduce food noise. Dr. Weiner details the barriers many face in accessing these medications, especially due to insurance restrictions. He recommends steps to improve approval chances, such as knowing your policy and gathering supporting documentation.

“Treat this process like a legal case,” Dr. Weiner advises. “Knowing your policy and meeting all requirements can improve your odds.”

Weight Loss Surgery Revisions: Stacey’s Story

Stacey’s story of gastric sleeve revision to bypass illustrates the importance of patient-centered care. Initially, Stacey struggled with GERD and dysphagia, making eating difficult. Dr. Weiner’s surgical revision alleviated her symptoms, allowing her to enjoy a balanced diet and achieve further weight loss. Stacey’s experience demonstrates how revisions can significantly improve comfort and quality of life for certain patients.

Q&A: Berberine, Calorie Needs on GLP-1s, and Robotic Surgery

In the listener Q&A, Dr. Weiner and Zoe tackle popular questions:

• Berberine vs. GLP-1s: Berberine offers minor benefits, but it is not a substitute for GLP-1 medications. Zoe stresses that a nutritious diet remains the priority.
• Caloric Intake on GLP-1s: Zoe recommends that GLP-1 users focus on adequate protein intake to protect muscle mass, aiming for 60-80 grams daily.
• Robotic vs. Laparoscopic Surgery: Dr. Weiner explains that while robotic surgery offers certain advantages, surgical outcomes depend more on the surgeon’s experience and complication rates.

Episode Takeaways

This episode provides actionable advice for managing weight loss with the right resources. Dr. Weiner and Zoe emphasize the importance of understanding treatment options, navigating insurance, and working with qualified professionals to achieve long-term success.

Can psychiatric medications really lead to dramatic weight gain? Does your socioeconomic status really determine if you’ll end up obese? And is there anything you can do about weight loss plateaus? Join us for an eye-opening episode of the Pound of Cure Weight Loss Podcast.
 
In today’s episode, we touch on a few key topics related to weight gain and weight loss challenges. First off, we dive into the role of medications that can actually cause weight gain. Things like antidepressants, mood stabilizers, and even birth control can seriously impact your body’s ability to maintain or lose weight. It’s not uncommon for people to be doing everything right with their diet and exercise, but these medications still push their weight up. 

We also talk about frustrating weight loss plateaus. Everyone hits them at some point, and the key is not to freak out. Reverting back to only drinking protein shakes, is not going to solve the problem. Small changes—like adjusting your veggie intake or swapping out processed foods for whole foods—can make a big difference. And remember, plateaus are totally normal, so don’t feel like you're failing.

Finally, we touch on how socioeconomic status plays a major role in weight gain. People from lower-income backgrounds often have a harder time losing weight, partly because of limited access to healthier foods. Living in areas where fresh produce is hard to come by (hello, food deserts!) makes sticking to a healthy lifestyle that much tougher.
 
 So, it’s a mix of factors outside your control like medications, hitting plateaus, and even where you live that can affect your weight loss journey.

In Episode 11 of the Pound of Cure Weight Loss podcast, Dr. Weiner and co-host Zoe cover the essentials of weight loss medications, with a focus on Mounjaro, insurance coverage for weight loss meds, and the benefits of combining GLP-1 medications with bariatric surgery. This episode dives into practical advice for navigating insurance barriers and understanding how a multi-modal approach can help achieve sustainable weight loss results.

Why Are Weight Loss Meds Covered by Insurance So Limited?

Dr. Weiner opens with a discussion on the hurdles in getting weight loss meds covered by insurance. Many insurers only cover GLP-1 medications like Mounjaro for diabetes treatment, not obesity, due to the misconception that weight loss is simply a “lifestyle choice.” He explains that Mounjaro is effective because it controls food noise, helping patients manage weight long-term by working with the body’s natural hunger-regulating hormones. Dr. Weiner encourages listeners to advocate for their right to medical support in their weight loss journey, noting that GLP-1 medications are a crucial part of this approach.

The Power of Combining Mounjaro with Bariatric Surgery for Lasting Weight Loss

Dr. Weiner highlights the potential of combining Mounjaro with bariatric surgery to create lasting weight loss outcomes. Unlike traditional dieting, Mounjaro aids patients by lowering hunger and reducing cravings, making it easier to maintain healthy habits post-op. Adding GLP-1 medications like Mounjaro to a bariatric surgery regimen helps prevent weight regain and supports a stable, lower weight set point, which is critical for long-term success.

Why Focusing on the Set Point is Better than Counting Calories for Weight Loss

Dr. Weiner discusses the metabolic thermostat concept, explaining why simply cutting calories isn’t enough for durable weight loss. Instead, lowering the body’s weight set point is essential. GLP-1 medications like Mounjaro reduce food noise, helping patients naturally control cravings and manage their weight without the intense hunger that often follows calorie restriction. This supports a balanced approach to weight management, helping patients maintain a healthy relationship with food.

Navigating Food Noise and Hunger with Accountability and Support

Support systems and accountability play key roles in successful weight management. At Pound of Cure, the support groups and virtual sessions offer structure and motivation for patients, especially those managing post-op food noise. Zoe advises that a diet rich in whole foods, such as vegetables, lean proteins, and fruits, helps patients feel fuller longer, making it easier to reduce cravings. This focus on nutrient-dense foods is essential to the Pound of Cure philosophy of long-term success.

Exploring New Weight Loss Tech

In a lighter segment, Dr. Weiner examines a new weight loss technology: a vibrating capsule that suppresses appetite by stimulating the stomach. Although intriguing, he cautions that this may cause nausea rather than true appetite control. Dr. Weiner recommends sticking with effective treatments like Mounjaro and bariatric surgery for now.

Audience Q&A

Dr. Weiner and Zoe address questions on managing hunger versus heartburn post-op and how to approach “cheat meals.” They recommend reframing indulgences as “treats” rather than “cheats” to foster a positive relationship with food. This sustainable mindset aligns with the Pound of Cure’s approach to weight management.

Conclusion

Dr. Weiner and Zoe close by highlighting the importance of combining surgical, nutritional, and pharmacological support to lower the body’s metabolic set point. With comprehensive support, patients can achieve long-term weight loss, effectively manage food noise, and lead a healthier lifestyle.

Welcome to another insightful episode of the Pound of Cure Weight Loss podcast! In this episode, Dr. Matthew Weiner and Zoe Schroeder tackle some pressing issues for patients, including the rising cost of GLP-1 weight loss medications, and how to manage weight regain after surgery. Whether you’ve undergone bariatric surgery or are using weight loss medications, this episode delivers science-backed insights on how to navigate the challenges of post-op life and optimize your diet for long-term success.

Why Are Medications So Expensive? A Deep Dive into Drug Pricing

The episode kicks off with a crucial conversation about rising drug prices. Many listeners have raised concerns about why medications like Ozempic (Semaglutide) and Mounjaro (Tirzepatide) are so expensive. In January 2024, more than 700 medications will face price hikes, and unfortunately, GLP-1 weight loss medications are on the list. Dr. Weiner highlights the complexities of drug pricing in the U.S., from Medicare's inability to negotiate drug prices to the overwhelming variety of insurance policies that influence costs.

Dr. Weiner also touches on a pivotal moment in 2003 when the Medicare Prescription Drug Improvement and Modernization Act (MMA) was passed. This law, still in effect, bars Medicare from negotiating drug prices directly with pharmaceutical companies, which has left patients paying inflated prices for essential medications. It’s a frustrating scenario for many, but Dr. Weiner encourages listeners to stay informed and advocate for change by supporting legislation that could help lower drug prices.

The Role of GLP-1 Weight Loss Medications in Obesity Treatment

As the conversation shifts, Dr. Weiner and Zoe dive deeper into the role of GLP-1 weight loss medications like Wegovy (Semaglutide) and Zepbound (Tirzepatide) in treating obesity. These medications have revolutionized how doctors approach weight management by helping to lower the body’s set point.

The podcast emphasizes that GLP-1 medications aren’t standalone solutions. Instead, they work best when combined with nutrition and lifestyle changes. While GLP-1 drugs help to suppress food noise and ease the challenge of constant hunger, they are most effective when integrated into a comprehensive weight loss plan, like the Metabolic Reset Diet.

If you're wondering whether you’ll be on GLP-1 medications forever, the answer depends on your personal situation. For many, these drugs will be part of their long-term weight maintenance strategy, particularly for those with chronic obesity. 

Managing Weight Regain After Surgery: Addressing Patient Concerns

Another key topic covered in this episode is managing weight regain after bariatric surgery. Weight regain is a common concern among patients who have undergone procedures like gastric sleeve or gastric bypass surgery. Dr. Weiner and Zoe recognize that it’s a frustrating issue, but it’s not uncommon. The hosts share real patient stories, including one about a woman who experienced weight regain after a sleeve gastrectomy. She was worried that her surgery was failing her, but Dr. Weiner reassured her that weight fluctuations are normal, especially in the months following surgery.

If you’re experiencing weight regain, the first step is to inspect your diet. Are you focusing on produce? Often, small slips in nutritional habits can lead to unwanted pounds creeping back. Dr. Weiner suggests focusing on what you can add to your diet rather than what you should restrict. This strategy can help patients avoid feeling deprived, which often leads to unsustainable eating patterns.

It’s not uncommon for patients to panic during weight stalls or minor regains. Zoe points out that this is where the support groups and nutritional counseling of

In Episode 9 of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and Zoe Schroeder dive into some of the most exciting developments in the field of obesity treatment. They discuss the latest innovations in GLP-1 medications, the effectiveness of weight loss surgery, and the many emerging obesity treatment options. The episode also features a touching patient success story and practical tips on mindful eating. Let’s break down the highlights of this episode and what it means for those struggling with obesity.

The Expanding Landscape of GLP-1 Medications

The episode begins with a news segment discussing a key development in the world of GLP-1 medications: Pfizer has stopped a study on a drug called Danuglipron, an oral GLP-1 agonist similar to Semaglutide (found in Ozempic and Wegovy) and Tirzepatide (found in Mounjaro and Zepbound). The trial faced a significant dropout rate—around 50%—due to severe nausea, which isn't uncommon with oral GLP-1 medications.

GLP-1 medications have been transformative in the field of obesity treatment. These drugs are designed to mimic the body’s natural hormones that control blood sugar and appetite, making it easier for individuals to lose weight and keep it off. In addition to Semaglutide and Tirzepatide, newer drugs like the upcoming Retatrutide (a triple agonist) show promise for even greater weight loss.

The excitement around GLP-1 medications isn’t just about the potential for weight loss. These drugs also offer patients options, including oral medications or weekly injections. As Dr. Weiner explains, some patients may prefer the convenience of a once-daily pill over weekly injections, while others find injections less disruptive to their daily routine. This flexibility in treatment methods allows patients to choose the approach that best suits their lifestyle and personal preferences.

Emerging Obesity Treatment Options: What’s Coming Next?

Dr. Weiner also offers a preview of the future of obesity treatment options, emphasizing that we’re on the verge of a significant transformation in the next three to five years. New medications like Retatrutide which works as a triple agonist (targeting GLP-1, GIP, and Glucagon), could push weight loss outcomes even further than what’s currently achievable with Semaglutide and Tirzepatide.

There are also many exciting developments coming from pharmaceutical companies worldwide. Dr. Weiner highlights that Novo Nordisk (makers of Wegovy and Ozempic) and Eli Lilly (makers of Mounjaro and Zepbound) are leading the charge, but they are not the only players. Companies like Pfizer, AltImmune, and Inivit Biologics are developing a range of new treatments that include both injectable and oral medications.

The introduction of more options means patients will have access to a wider range of tools tailored to their specific needs. This surge in new medications is expected to drive down prices, making these effective obesity treatments more affordable and accessible to a broader population. Dr. Weiner is optimistic that in the coming years, the variety of medications will give patients more choices, more control over their treatment, and ultimately lead to better outcomes.

Weight Loss Surgery: A Proven Tool in the Fight Against Obesity

While GLP-1 medications are making waves, weight loss surgery remains one of the most effective and long-lasting treatments for obesity. During the episode, Dr. Weiner discusses the value of bariatric surgery and how it has helped countless patients achieve sustainable weight loss.

One of the standout moments of this episode is Terri’s inspiring patient story. Terri, a bariatric surgery patient, shares her journey of losing over 110 pounds in just 14 months. She explains how, after years of struggling with her weight and health, surgery gave her the tool she needed to reclaim her life. Terri had gastric bypass surgery, which Dr

In this episode of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and Zoe Schroeder, RD, dive into key issues surrounding weight loss, including the use of GLP-1 medications, the choice between obesity medications and bariatric surgery, and the ethical concerns surrounding pharmaceutical companies. Just to name a few!

GLP-1 Medications for Weight Loss: A Powerful Tool

Dr. Weiner opens the episode by discussing the rise of GLP-1 medications for weight loss like Zepbound and Wegovy. These medications, originally designed for diabetes, have become game-changers in obesity treatment by lowering the metabolic setpoint. Dr. Weiner and Zoe highlight the importance of understanding how each drug works, as some patients may respond better than others or require higher doses. While these medications are effective, they’re not a one-size-fits-all solution.

Ethical Concerns: Eli Lilly’s Partnership with Telehealth Companies

One of the episode’s hot topics is the ethical concern surrounding Eli Lilly’s partnership with telehealth companies. Dr. Weiner points out how these partnerships could lead to biased prescribing practices, favoring certain medications over others, or even bariatric surgery. This raises questions about whether patients are truly receiving the best care for their needs.

Obesity Medications vs Bariatric Surgery: Finding the Right Fit

Choosing between obesity medications vs bariatric surgery is a personal decision, and Dr. Weiner emphasizes that it’s important to weigh all factors. Medications like Zepbound and Wegovy require long-term use to maintain weight loss, while surgery offers a more permanent option but with risks. Deciding which path to take depends on your weight loss goals, tolerance for medications, and insurance coverage.

Hiatal Hernia Treatment Options: Surgery and Alternatives

Dr. Weiner also addresses hiatal hernia treatment options. For those experiencing severe symptoms, like acid reflux or food getting stuck, surgery might be necessary. However, many cases can be managed with lifestyle changes or medications. For patients who have had a sleeve gastrectomy and still experience reflux, Dr. Weiner suggests considering a gastric bypass as a potential solution.

Movement Sprinkles: Simple Ways to Stay Active

Zoe introduces the concept of "movement sprinkles," a practical way to stay active when you don’t have time for structured workouts. Small, intentional activities like quick walks or doing chores can add up throughout the day, keeping you moving and supporting your health.

Final Thoughts

Dr. Weiner and Zoe wrap up the episode by encouraging listeners to tailor their weight loss journeys based on their unique needs. Whether through medications, surgery, or a combination, understanding your options and making informed decisions is key to long-term success.

Tune in to Episode 8 for more insights on GLP-1 medications for weight loss, obesity medications vs bariatric surgery, and hiatal hernia treatment options, along with tips on how to stay active with movement sprinkles.

For more information, visit the Pound of Cure website for resources on weight loss and treatment options.

In Episode 7 of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and co-host Zoe Schroeder, RD, dive into the latest developments in weight loss treatments, including GLP-1 medications for weight loss, the differences between gastric bypass vs. sleeve gastrectomy, and how to manage the side effects of GLP-1 weight loss drugs. This episode is packed with science-based guidance and actionable tips for your weight loss journey.

GLP-1 Medications for Weight Loss: Benefits Beyond the Scale

Dr. Weiner discusses GLP-1 medications like Wegovy (Semaglutide) and Zepbound (Tirzepatide), which are showing great success for weight loss. Beyond helping patients lose weight, these medications reduce the risk of cardiovascular diseases, such as heart attacks and strokes, by up to 25%. Additionally, research highlights the role these medications play in lowering cancer risks linked to obesity. GLP-1 medications not only suppress appetite but may have other positive effects on metabolism.

Side Effects of GLP-1 Weight Loss Drugs: What You Need to Know

While GLP-1 medications are effective, they do have side effects. Dr. Weiner and Zoe discuss nausea, vomiting, and gastrointestinal discomfort, common with medications like Wegovy and Zepbound. These side effects are due to the drug’s mechanism of slowing gastric emptying. Dr. Weiner advises starting with a low dose and eating small, well-balanced meals to minimize symptoms. More serious side effects like gallbladder issues and pancreatitis are rare but important to monitor.

Gastric Bypass vs. Sleeve Gastrectomy: Choosing the Right Bariatric Surgery

Dr. Weiner explains the key differences between gastric bypass vs. sleeve gastrectomy to help patients make informed decisions. He shares a patient story of a woman who initially tried GLP-1 medications but switched to gastric bypass due to severe side effects. Gastric bypass often results in more significant weight loss and is ideal for patients with severe acid reflux or those looking to avoid long-term medications, while sleeve gastrectomy is simpler but comes with a higher risk of weight regain and GERD.

Patient Success Story: From GLP-1 Medications to Bariatric Surgery

A patient in her 30’s transitioned from GLP-1 medications to a gastric bypass due to overwhelming side effects. Post-op, she achieved significant weight loss and resolved many issues caused by the medications. This story illustrates that some patients may prefer surgery when medication-related side effects impact their quality of life.

Nutrition Tip: High-Protein Lentil Pasta

Zoe shares a simple nutrition tip: adding lentil pasta to your diet. Lentil and chickpea pastas are high in protein and fiber, making them great options for bariatric and GLP-1 patients who need to eat smaller portions but still require nutrient-dense foods to support healing and weight loss.

Finally, Dr. Weiner and Zoe answer six questions from listeners including, whether or not Paxil causes weight gain, weight loss stalls on a Vegan diet, and supplement suggestions.

Conclusion: Finding the Right Weight Loss Solution for You

Episode 7 offers a comprehensive look at options like GLP-1 medications for weight loss and gastric bypass vs. sleeve gastrectomy. Whether managing side effects of GLP-1 weight loss drugs or considering surgery, Dr. Weiner and Zoe provide practical advice to help you make informed decisions on your weight loss journey.

2024 is set to be a transformative year in the world of weight loss. With new GLP-1 weight loss medications gaining attention, the decline of restrictive diets like keto, and the rise of more sustainable approaches like a plant-based diet for weight loss, this year will introduce innovations that could make your journey easier and more effective. Here are our top 10 weight loss predictions for 2024.

1. Zepbound Will Overtake Ozempic

One of the biggest shifts in 2024 will be Zepbound replacing Ozempic as the go-to GLP-1 weight loss medication. With studies showing up to 26% total body weight loss, Zepbound outperforms Ozempic’s 15%. Patients also report fewer side effects like nausea, making Zepbound the top choice for effective weight loss.

2. Plant-Based Diets for Weight Loss Will Rise and Keto Will Decline

As keto’s popularity fades due to sustainability issues, a plant-based diet for weight loss will take center stage in 2024. Plant-based diets, rich in high-fiber whole foods, are easier to maintain and promote better heart health and reduced inflammation, making them a smarter long-term choice over keto.

3. Insurance Coverage for GLP-1 Weight Loss Medications Will Tighten

GLP-1 weight loss medications like Zepbound and Wegovy are highly effective but costly. In 2024, expect stricter insurance guidelines, making it harder to get coverage. Affordability will be a challenge as more patients seek these life-changing medications.

4. New GLP-1 Medications Will Emerge

While Zepbound may dominate early 2024, new medications like Retatrutide will enter the scene. Expected to deliver better weight loss percentages with fewer side effects, Retatrutide could redefine treatment, although it might not hit the market fully until 2025.

5. Non-Surgical Interventions Will Continue to Rise

In 2024, non-surgical weight loss methods, especially those combining GLP-1 weight loss medications with nutrition programs, will grow in popularity. This multimodal approach is proving to be highly successful, offering patients significant weight loss without the need for surgery.

6. Mental Health Will Play a Bigger Role in Obesity Treatment

Mental health’s role in obesity will gain more attention in 2024. Emotional eating, anxiety, and depression contribute to weight gain, making mental wellness a critical aspect of any weight loss program. Expect more integrated treatments for both the mind and body.

7. Keto Diet Alternatives Will Become Mainstream

As keto declines, alternatives like low-carb, plant-based diets will take the lead. These keto diet alternatives often offer better weight loss benefits and the flexibility of including healthy carbs, making them easier to maintain long term.

8. GLP-1 Medications Will Be Optimized for Better Results

As GLP-1 weight loss medications become more common, doctors will optimize dosages to minimize side effects like gastroparesis. Personalized nutrition guidance will help patients achieve even better outcomes in 2024.

9. Plant-Based Protein Sources Will Become More Popular

With the rise of plant-based diets for weight loss, demand for plant-based protein sources like lentils, chickpeas, and tofu will increase. These options are healthier alternatives to animal proteins and will be crucial for maintaining muscle mass during weight loss.

10. Access to Weight Loss Medications Will Continue to Be a Struggle

Access to GLP-1 weight loss medications will remain challenging due to supply chain issues and high demand. Delays and coverage difficulties are expected in early 2024, although improvements may come by mid-year.

In conclusion, 2024 will bring exciting advancements in weight loss strategies. Whether you’re considering GLP-1 weight loss medications like Zepbound, a plant-based diet for weight loss, or exploring keto die

In Episode 5 of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and Zoe Schroeder discuss the latest developments in weight loss treatments, including GLP-1 medications for weight loss, managing acid reflux after VSG, and practical self-pay options for weight loss drugs. Whether you’ve had bariatric surgery or are considering it, or using a GLP-1 medication for weight loss, this episode provides actionable insights for your weight loss journey.

The Power of GLP-1 Medications for Weight Loss

One of the most exciting advancements in obesity treatment is the introduction of GLP-1 medications for weight loss. Medications like Zepbound (Tirzepatide) and Wegovy (Semaglutide) help patients feel fuller longer, reducing food noise and calorie intake without deprivation. Zepbound, now FDA-approved for weight loss, has demonstrated effectiveness similar to bariatric surgery, with diabetics losing 21% and non-diabetics losing up to 26% of their body weight.

These medications are ideal for those struggling with obesity, managing diabetes, or seeking additional weight loss post-op.

Exploring Self-Pay Options for Weight Loss Drugs

Accessing GLP-1 medications can be expensive, with Zepbound costing around $550 per month, even with a coupon. Many patients face inconsistent insurance coverage, making it necessary to explore self-pay options for weight loss drugs.

Dr. Weiner suggests several ways to reduce costs:

• Coupon Programs: Many companies offer programs that lower the cost of medications including the use of a coupon or income-driven price reduction.
• Stretching Medications: Some patients, under professional guidance, use smaller doses or inject every 10-14 days to extend the medication's duration.
• Canadian Pharmacies: In some cases, buying medication from Canada can be more affordable, but it's crucial to consult with a healthcare provider first.

Dr. Weiner also recommends the Pound of Cure Platinum Program, which uses creative dosing strategies to reduce costs even further, often below the price of compounded medications.

The Role of GLP-1 Medications in Post-Op Weight Maintenance

GLP-1 medications like Zepbound are also effective in preventing weight regain for post-op patients. These medications suppress hunger and slow digestion, mirroring the effects of bariatric surgery. Contrary to misconceptions, GLP-1 medications work well alongside surgery, helping patients maintain and even enhance their weight loss results.

Dealing with Acid Reflux After VSG

Acid reflux after VSG (Vertical Sleeve Gastrectomy) is a common issue that can significantly impact quality of life. VSG reduces stomach capacity, which may increase pressure on the esophagus, leading to reflux. Managing reflux post-op is essential to prevent complications like Barrett’s esophagus.

Dr. Weiner recommends several strategies:

• Medications: Proton pump inhibitors (PPIs) such as Prilosec can help reduce stomach acid.
• Dietary Adjustments: Avoid acidic, spicy, and fatty foods, as well as items like tea and mint that relax the stomach. Eating smaller, more frequent meals can also help.
• Surgical Revision: In severe cases, revising the sleeve to a Roux-en-Y gastric bypass may effectively reduce reflux.

Conclusion: Combining Tools for Success

Episode 5 of the Pound of Cure Weight Loss Podcast is an insightful conversation that covers crucial aspects of weight loss treatment, from the latest GLP-1 medications to acid reflux after VSG. Dr. Weiner and Zoe provide a well-rounded perspective, emphasizing that the combination of tools—whether it’s surgery, medication, or dietary changes—offers the best chance for long-term success.

In Episode 4 of the Pound of Cure podcast, Dr. Matthew Weiner, a bariatric surgeon and weight loss specialist, and Zoe Schroeder, a registered dietitian, dive into key topics around sustainable weight loss. They explore sleeve gastrectomy vs. gastric bypass, patient success stories of overcoming weight regain after bariatric surgery, and the growing use of GLP-1 medications for weight loss. The hosts also provide practical nutrition tips and answer listener questions related to post-op challenges, focusing on the intersection of surgery, medication, and nutrition.

Bariatric Surgery vs. GLP-1 Medications for Weight Loss

Dr. Weiner and Zoe start by discussing an article from The Atlantic that examines the benefits of sleeve gastrectomy vs. gastric bypass alongside the rising popularity of GLP-1 medications like Wegovy and Zepbound. Dr. Weiner highlights that both bariatric surgery and GLP-1 medications cause similar neurohormonal changes that regulate appetite and metabolism, aiding in weight loss. While surgery has a significant upfront cost, it often proves more affordable in the long term compared to the high monthly expenses of medications like Ozempic. He emphasizes that combining surgery with GLP-1 medications and a structured nutrition plan provides the most sustainable weight loss, especially for those who experience weight regain after bariatric surgery.

Overcoming Weight Regain After Bariatric Surgery

Dr. Weiner shares a patient success story involving a woman who initially lost 125 pounds after a sleeve gastrectomy but experienced weight regain, reaching 310 pounds. With the help of Dr. Weiner’s nutrition program and GLP-1 medications for weight loss, she returned to 250 pounds. Dr. Weiner underscores that weight loss is not linear, and setbacks such as weight regain are common but can be overcome with the right tools and medical support.

Nutrition Tip: Pre-Planning Grocery Delivery

Zoe offers a practical nutrition tip for busy individuals and vacations—pre-plan your meals and order groceries for delivery while you are still traveling. This strategy helps ensure you return home to healthy food, reducing the temptation of takeout and setting you up for a successful week of balanced eating. Both Dr. Weiner and Zoe stress the importance of maintaining a nutritious diet, whether you’ve had bariatric surgery or are managing your weight with GLP-1 medications.

Weight Regain, Cottage Cheese, and More

Dr. Weiner addresses a listener’s concern about weight regain after a sleeve gastrectomy. Explaining that while the initial weight loss is due to the hormonal shifts the surgery causes as well as the stomach size reduction, the lack of intestinal changes makes weight loss less durable. He suggests GLP-1 medications like Wegovy or Zepbound to support long-term weight management. Another listener asks about the benefits of cottage cheese, which Zoe describes as a high-protein, versatile food that can aid recovery after bariatric surgery.

The episode also covers the SADI procedure as an option for weight loss, iron supplementation after surgery, and the potential dangers of rapid, unintentional weight loss. The hosts remind listeners to monitor their health closely and seek medical advice if they notice unexpected changes.

Conclusion: Sustainable Weight Loss

Dr. Weiner and Zoe reaffirm their commitment to helping listeners achieve sustainable weight loss through a comprehensive approach that combines surgery, medication, nutrition, and personalized support. They encourage listeners to see their weight loss journey as ongoing, with setbacks serving as opportunities to learn and improve.

In this episode of the Pound of Cure Weight Loss podcast, bariatric surgeon Dr. Matthew Weiner and registered dietitian Zoe Schroeder dive into key topics in weight loss, focusing on the role of GLP-1 medications, bariatric surgery, and addressing complications such as acid reflux after sleeve gastrectomy. They share expert insights to help patients navigate their weight loss journey, whether through surgery, medication, or tailored nutritional strategies.

The Rising Power of GLP-1 Medications

Dr. Weiner kicks off the discussion by exploring how GLP-1 medications like Wegovy have revolutionized weight loss. Initially developed for diabetes, these medications now help patients regulate appetite and manage weight effectively. However, Dr. Weiner notes that the cost of these medications can be a major barrier, with prices reaching $1,500 per month for some patients. He also warns against unregulated compounded versions of these drugs, which may offer cheaper alternatives but come with significant risks, such as contamination and ineffectiveness.

To get the most out of GLP-1 medications, Zoe emphasizes the importance of pairing them with proper nutrition. “These medications are powerful, but they work best when combined with a diet rich in fiber-dense foods like vegetables, fruits, and legumes,” she explains. This strategy helps maximize fullness and keeps hunger in check.

Bariatric Surgery and Acid Reflux

One of the most common complications after bariatric surgery is acid reflux, particularly after sleeve gastrectomy. Dr. Weiner points out that around 20-30% of patients develop some level of acid reflux or GERD (Gastroesophageal Reflux Disease) after the procedure. While medications like proton pump inhibitors can help manage mild cases, more severe instances may require a sleeve gastrectomy revision to a gastric bypass.

“A revision to gastric bypass often resolves acid reflux by changing the digestive pathway,” Dr. Weiner explains. He adds that this revision can also benefit patients who haven’t lost as much weight as expected after their sleeve surgery. “Many of my patients feel significantly better after a sleeve gastrectomy revision, with their reflux symptoms gone and their weight loss back on track,” he says.

Nutritional Support After a Sleeve Gastrectomy Revision

For patients undergoing or considering a sleeve gastrectomy revision, Zoe stresses the importance of adjusting their diet to suit their new anatomy. “Post-revision, the focus should be on small, frequent meals that are high in protein and low in fat,” she advises. Patients also need to avoid foods that can irritate the stomach, like spicy foods, caffeine, and alcohol, to support healing and ensure long-term success.

Enjoying Iced Coffee Without the Guilt

In a lighter segment, Zoe addresses a listener’s question about how to enjoy iced coffee without compromising health goals. She advises against artificial sweeteners, which can disrupt gut health and weight loss. Instead, she suggests using natural flavors like vanilla extract, cinnamon, and nutmeg. These flavors trick the brain into perceiving sweetness without added sugars or chemicals.

Conclusion

Dr. Weiner and Zoe conclude by encouraging listeners to take charge of their health using the best available tools—whether it’s GLP-1 medications, bariatric surgery, or a nutrient-dense diet. They emphasize that weight loss is a personalized journey and that patients should seek support from healthcare professionals to navigate challenges like acid reflux after surgery or decisions regarding a sleeve gastrectomy revision. The episode offers actionable advice to help listeners make informed choices and achieve lasting success.

In this episode of The Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and Zoe Schroeder, RD discuss the key components of achieving sustainable weight loss through a combination of GLP-1 medications, weight loss surgery, and effective nutritional strategies. Dr. Weiner, a leading bariatric surgeon and non-surgical weight loss specialist, and Zoe, a registered dietitian, share their holistic approach to weight loss and weight management from their Tucson, Arizona practice.

At the heart of their philosophy is an emphasis on sustainable weight loss strategies that go beyond quick fixes. Whether it’s through weight loss surgery like sleeve gastrectomy and gastric bypass, or the use of GLP-1 medications such as Zepbound and Wegovy, or a nutrient-dense diet like the Metabolic Reset Diet, Dr. Weiner and Zoe stress the importance of nutrition and long-term support.

Patient Success Story: Weight Loss Without Wegovy

The episode features a powerful success story of Joey, a patient who achieved significant weight loss without surgery or GLP-1 medications. 

Joey’s diet was terrible. He came to the practice hoping to get on GLP-1 medications. But, due to the shortages, Dr. Weiner recommended Joey start on the Metabolic Reset Diet - a sustainable weight loss strategy focused on a whole foods like fruits, vegetables, nuts, seeds, beans, and lean protein. Within a couple weeks Joey was dropping weight easily. In less than a year he had reached his goal weight without the use of GLP-1 medications or surgery.

His journey underscores how patients can lower their weight set point and maintain their results through lifestyle changes alone.

The Role of GLP-1 Medications in Sustainable Weight Loss

We also delve into the role of GLP-1 medications in promoting sustainable weight loss. With Belgium's recent ban on Ozempic for weight loss, Dr. Weiner and Zoe discuss the bias against treating obesity as a medical condition. It can leave patients feeling helpless and alone, blaming themselves for a disease that is largely outside of their control. 

We also explore alternatives to Ozempic, Wegovy, Mounjaro and Zepbound with the use of compounded GLP-1 medications like Semaglutide and Tirzepatide. We weigh the pros and cons of compounded medications and discuss the importance of combining these medications with the right nutrition to maximize success.

Slow Weight Loss After Surgery and Managing GLP-1 Side Effects

Listeners are reassured that slow weight loss and weight loss stalls after weight loss surgery is normal and part of the body's natural process. Dr. Weiner highlights how consistency in your nutrition is crucial in overcoming plateaus. Zoe provides practical tips on managing side effects of GLP-1 medications, such as nausea and headaches, by focusing on clean eating and whole foods.

Optimizing Your Diet for Sustainable Weight Loss

The episode concludes with advice on building sustainable weight loss strategies through nutrition. Zoe emphasizes the importance of choosing plant-based proteins and whole foods over highly processed options, while Dr. Weiner reinforces the power of a mostly plant-based diet in long-term success, whether or not you're using GLP-1 medications or undergoing weight loss surgery.

Through their engaging discussions, Dr. Weiner and Zoe offer listeners a comprehensive guide to achieving lasting weight loss by combining GLP-1 medications, weight loss surgery, nutrition, and sustainable weight loss strategies. Their holistic approach is grounded in practical, science-backed advice to help individuals navigate their unique weight loss journeys.

In this episode, we unpack some fascinating insights from an NBC News article that highlights why most people stop using Wegovy after two years. Dr. Weiner shares his thoughts, explaining that a lack of access due to shortages, high costs, and insurance coverage issues are significant reasons why people discontinue these medications. The Pharmacy Benefit Managers (PBMs) who released the data might also have an agenda since they are not keen on covering expensive weight loss medications. Dr. Weiner believes that many people would continue using Wegovy if they had consistent access without these barriers.

We also hear Martin's inspiring weight loss journey. Initially struggling with his weight from a young age, he tried every fad diet before opting for weight loss surgery. Martin shares his experience with the lap band surgery in 2009, which didn’t work out as planned. He eventually transitioned to a gastric bypass after his wake-up call, realizing that he wanted to lead a healthier life for his family. Through a combination of gastric bypass, GLP-1 medications like Mounjaro, and the 10-to-1 protein rule, Martin achieved a significant weight loss. His story underlines the importance of finding a personal "why" and using it as motivation to make lasting lifestyle changes​​.

Dr. Weiner discusses the heritability of weight loss response to gastric bypass surgery, emphasizing that genetic factors often play a significant role in the success of such procedures. He cites a study showing that the genetic relationship between first-degree relatives had a more substantial impact on weight loss success after surgery than merely living together. This highlights the potential genetic influence on how individuals respond to both surgery and weight loss medications​.

We also dive into practical advice on reaching protein goals post-surgery. For those struggling with limited food volume, we recommend strategies like fortifying meals with protein powders and choosing nutrient-dense options like Greek yogurt or smoothies to meet protein targets without consuming large quantities of food. Achieving these protein goals can help speed up weight loss and break through plateaus​​.

Overall, this episode covers the complexities of weight loss, from understanding the barriers to medication adherence to navigating genetic influences and personalizing nutrition strategies.

In the world of weight loss, there’s no shortage of buzzwords, fad diets, and conflicting advice. But the reality is that sustainable weight loss isn’t about quick fixes or extreme measures. Instead, it requires a comprehensive understanding of how the body regulates weight and metabolism. Dr. Matthew Weiner, a weight loss surgeon and specialist, emphasizes the importance of educating yourself on all aspects of weight loss—from surgery to nutrition and the role of medications like GLP-1 agonists (e.g., Wegovy and Zepbound). Let’s dive into the science of weight loss and how understanding the bigger picture can lead to long-term success.

The Role of Education in Weight Loss

Education is one of the most vital tools for any weight loss journey. As Dr. Weiner points out, "If you get the patient as educated as possible, you're going to be so much more successful and have such a better experience." Many people are bombarded with misinformation from social media and the news, making it harder to sift through what actually works. This is why we advocate for a scientific, fact-based approach to weight loss.

Debunking Common Myths: Calories in vs. Calories Out

One of the most persistent myths in weight loss is the idea that "calories in vs. calories out" is the key to losing weight. This model suggests that if you simply eat less and move more, you’ll lose weight. However, this concept oversimplifies a complex system. The body’s metabolic rate, appetite, and energy expenditure are all interconnected. When you eat fewer calories, your metabolic rate slows down as your body tries to maintain its current weight—a concept known as the “set point theory.”

The body is designed to resist weight loss, much like it resists holding your breath for an extended period of time. The same principle applies to extreme calorie restriction; eventually, your body’s natural survival mechanisms will take over, making long-term restriction unsustainable.

The Importance of Context in Weight Loss

Not all calories are created equal, and context matters significantly in weight loss. The body responds differently to nutrient-dense foods compared to processed, calorie-dense options. Surgery and medications like GLP-1 agonists can help regulate appetite and metabolic hormones, but they must be paired with proper nutrition for effective results.

GLP-1 Medications: A Game-Changer for Appetite Control

The introduction of GLP-1 medications, such as Wegovy and Zepbound, has been a breakthrough in obesity treatment. These drugs help regulate appetite and slow down gastric emptying, making you feel full longer. However, some of the media coverage around these medications has been misleading. For example, an article from Rolling Stone highlighted cases of gastroparesis (a condition where the stomach empties more slowly) in users of these drugs. Dr. Weiner clarifies that this slowing of the stomach is actually one of the medication’s intended effects—allowing patients to feel full on smaller amounts of food.

The key to success with these medications is adjusting the dosage and pairing them with a balanced, whole-food diet. Trying to eat large, high-fat meals, such as fast food, while on GLP-1 medications can exacerbate side effects like nausea. Patients who focus on lean proteins, vegetables, and whole foods, on the other hand, tend to see the best results.

Nutrition: What Should You Be Eating?

When it comes to diet, a whole-food-based approach is crucial. Processed foods, high in sugar and unhealthy fats, can disrupt the body’s natural hunger signals, making it harder to regulate appetite. In contrast, whole foods like vegetables, fruits, lean proteins, and beans help nourish the body and support weight loss efforts. Adding more nutrient-dense foods to your diet helps crowd out less healthy options, making it easier to meet your weight loss goals without

In this episode, we tackle some hot topics and share inspiring stories. We start with a big piece of news: the CEO of Novo Nordisk being brought before a Senate committee. This is huge because Novo Nordisk is a major player in the GLP-1 medication world, and there's a lot of scrutiny on how these drugs are priced and covered by insurance.

We also dive into the incredible story of Leslie, who needed a combination of nutrition, exercise, GLP-1 medications, and bariatric surgery to lose an astonishing 157 pounds. Her journey is a powerful reminder that weight loss isn't a one-size-fits-all solution and often requires a multifaceted approach.

On a different note, we discuss some eye-opening research showing that obese people tend to earn less money than their non-obese counterparts. This wage gap is especially pronounced as education levels increase, which is both shocking and troubling.

We also get into the nitty-gritty of insurance coverage for GLP-1 medications. It's frustrating to see how many barriers there are for patients trying to get these potentially life-changing drugs. We offer some tips on how to navigate these challenges and advocate for better coverage.

Overall, this episode is packed with important information and real-life stories that highlight the complexities of weight loss and the broader societal issues related to obesity.

In this episode of the Pound of Cure Weight Loss Podcast, we dive into the surprising mental health benefits of GLP-1 medications. We discuss recent studies that debunk the myth of increased risk of suicide and highlight the positive impact these medications have on reducing depression, curbing alcohol and binge eating disorders, and slowing the progression of Parkinson’s. 

We dive in to the exorbitant cost of GLP-1 medications and explore potential solutions for affordability. We compare the cost of compounded medications to the FDA approved meds to see whether or not the compounded medications are actually less expensive.

Another key topic covered in this episode is the importance of reframing self-talk to overcome barriers to healthy behaviors. Zoe shares strategies for shifting from justifications like "I don't have time" to a more empowering mindset, encouraging listeners to prioritize their health and wellness.
 
 Finally, we address practical concerns about fruit intake for diabetics, why GLP-1 medications are not suitable for losing the last 10 pounds unless there is a significant medical indication, and the ever-changing insurance coverage for GLP-1 medications.

Tune in to learn more about the transformative potential of GLP-1 medications, practical advice on managing costs, and strategies for reframing your mindset to support your weight loss journey.

Episode 34 of The Pound of Cure Weight Loss Podcast is titled, Will Ozempic Make You Go Blind? The title comes from our In the News segment, where we cover an article from The Hill titled, Ozempic/Wegovy May be Linked to Rare Form of Blindness. If you’re taking this medication, this is probably a very scary headline. And, of course, it’s meant to be so that you click through. So, what is the science behind the headline? Tune in to find out!
 
We are very excited to bring you this week’s Patient Story segment because we are talking to Dave. You may know him as The Man on Mounjaro or from his podcast, On the Pen. I’ve talked about him, previously, on the podcast because he is a fountain of knowledge on all the weight loss medications in the pipeline. He is going to share his story with you and offer a 1, 3, and 5-year outlook on the future of obesity medications.
 
In our Nutrition segment, Zoe dives deeper into vegan health halo’s. Some stores are especially good at marketing and packaging products to make them appear healthy. But in reality, they are just as processed and sugary as their non-vegan counterparts.
 
Finally, we answer 3 of our listeners questions including, alcohol intake after a gastric bypass, tips for fixing your metabolism while recovering from Anorexia, and what to do if you miss a dose of Ozempic. 
 
If you enjoy listening to the podcast every week, please leave us a review on your favorite listening platform. If you have a question that you'd like for us to answer on the podcast, please reach out to us through social media (Instagram, TikTok, Facebook or YouTube), or the website.

Episode 33 of The Pound of Cure Weight Loss Podcast is titled, Do You Have the Obesity Gene? The title comes from our In the News segment, where we dive into an article by CNN titled, Researchers Have Found A ‘Clear Genetic Trigger for Obesity’ that Applies to Some People. According to the University of Exeter, a gene typically responsible for thyroid function and baseline energy expenditure named SMIM1, may be partially to blame for Obesity in those that carry two faulty copies of the gene. So, how does this affect the treatment of Obesity? Tune in to find out!
 
 In our Patient Story, we talk to Kate who had rapid weight gain after a partial hysterectomy due to PCOS. She needed bariatric surgery to get the weight off, but her insurance wouldn’t cover it. So, she went to Mexico for the surgery and joined our nutrition program for her post-op care. She has lost 100 pounds since her surgery and 130 pounds off her highest weight!
 
 In our Nutrition segment, Zoe offers tips on how to add more movement into your day if you work a desk job, without going to the gym or adding an exercise routine into your already hectic schedule. 
 
 Since the approval of GLP-1 use for the treatment of Obesity, one of the most frequently asked questions has been, “Why won’t my insurance company cover the medication?” It all comes down to the acronym, QALY. In our Economics of Obesity segment, I break down QALY’s and explain their purpose.
 
 Finally, we answer 3 of our listeners’ questions including, whether or not a sleeve patient can have the LINX procedure, how to maximize protein without eating meat, and how to minimize hair loss after bariatric surgery.

Episode 32 of The Pound of Cure Weight Loss Podcast is titled, Why We Hate Keto. We cover a lot of material in this episode, including Pharmacy Benefit Managers, over-the-counter supplements for weight loss, Keto and the Lion diet, Glp-1’s, and avocado oil, just to name a few.

In our In the News segment, we dive into an article from The New York Times titled, The Opaque Industry Secretly Inflating Prices for Prescription Drugs. As the title suggests, there are behind-the-scene shenanigans going on that needlessly and greedily add to the cost of prescription drugs. It’s an intricate, and unfortunately, legal method of stealing money to the tune of billions of dollars a year. But there is something you can do to stop it. Tune in to find out what that is!

In our Patient Story, we talk to Laura who came to us from Phoenix. Laura gained weight later in life and struggled with the idea of surgery. It wasn’t until she retired and her plans to travel became more difficult, (due to the extra weight) that she really considered having bariatric surgery. After meeting with me she went ahead with a gastric bypass and lost 80 pounds in 10 months! 

In our Nutrition segment we explain why we hate Keto. You might think that Keto is a relatively new diet but it’s actually over 150 years old and intended to help treat patients with epilepsy. And, while Keto may actually help you lose weight, it wreaks havoc on your cardiovascular system causing poorer health. 

In our Economics of Obesity segment, we talk about over-the-counter weight loss supplements. We cover Chromium Picolinate, Berberine, Metformin, Inulin, Alli, and Hydroxycut. Do they actually work? We lay it all out for you!
 
Finally, we answer 3 of our listeners questions including, when to start GLP-1’s after a sleeve, our thoughts on avocado oil, and what we think about the Lion diet. Tune in for a deep-dive into the science behind many famous and infamous weight loss practices.

In Episode 41 of the Pound of Cure Weight Loss podcast, we explore the growing use of GLP-1 medications for weight loss, particularly focusing on compounded versions of Semaglutide and Tirzepatide. These medications, typically found in Ozempic, Wegovy, Zepbound, and Mounjaro, have become incredibly popular for their effectiveness in helping patients lose weight. With shortages of these factory-produced drugs, compounding pharmacies have emerged as a more accessible and affordable alternative for many. But what exactly does compounding mean, and is it safe?

We break down how compounding pharmacies create custom versions of medications, often offering a lower-cost option. While the appeal is strong, compounded meds come with potential risks. Quality and dosage can vary significantly, raising concerns about safety and effectiveness. We share patient stories and real-world examples of how compounded versions can differ from the original medications in potency and results, and we explain why patients should approach compounded GLP-1 meds with caution.

Beyond the legal and safety considerations, we also discuss practical tips for those taking GLP-1 medications for weight loss, such as staying hydrated. These meds not only curb hunger but also reduce the body’s natural thirst response, making it easy to become dehydrated. We offer simple strategies for maintaining hydration while on these medications, which is crucial for overall health and well-being.

Finally, we look ahead to the future of compounded medications. As shortages ease and patents become enforceable, compounded versions of GLP-1 drugs may become less common. We also touch on the possibility of generic versions hitting the market, making these life-changing medications more affordable and accessible. If you're considering compounded meds or just want to learn more about your options, this episode offers valuable insights into how to make the best choices for your weight loss journey.

In episode 43 of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and Zoe Schroeder, RD, explore key bariatric surgery weight loss factors, the best diet for weight loss, and how to manage malabsorption after bariatric surgery. The episode emphasizes that post-surgery success involves much more than effort alone.

Bariatric Surgery Weight Loss Factors

Dr. Weiner explains that multiple factors influence weight loss after surgery, including age, gender, and genetics. For example, younger patients lose more weight than older people do. And men, tend to lose more weight than women. Diabetes also complicates weight loss due to higher insulin levels. However, following the Metabolic Reset Diet can help reverse diabetes and promote more weight loss both before and after surgery. Factors like mobility issues and medications can also slow the process​.

Best Diet for Weight Loss

The hosts highlight that the best diet for weight loss focuses on nutrient-dense foods like fruits, vegetables, beans, lean proteins, and nuts. Dr. Weiner stresses that it's not about eating less but rather, eating differently. Highly processed foods pack in “bad calories” that hinder your metabolism, while whole foods support weight loss and overall health. The goal is to shift your calorie intake toward nutrient-dense foods and away from processed junk​​.

Malabsorption After Bariatric Surgery

Dr. Weiner also addresses concerns about malabsorption after bariatric surgery. Particularly after procedures like a gastric bypass, where certain nutrients like iron, calcium, and vitamin B12 may not be absorbed efficiently. Lifelong supplements and regular blood work are crucial to manage these deficiencies.

Long-Term Success: More Than Just Surgery

While surgery can significantly lower your body’s setpoint, long-term success depends on lifestyle changes. Dr. Weiner and Zoe recommend combining surgery with nutrition and movement in order to produce the best, most durable weight loss.

When those aren’t enough, Dr. Weiner will also combine surgery with GLP-1 medications to reduce hunger and make it easier to maintain a healthy diet. These medications lower the setpoint and help manage "food noise," but they need to be taken consistently to prevent weight regain​.

Conclusion

In this episode, Dr. Weiner and Zoe emphasize that bariatric surgery weight loss factors include things beyond effort, like age and the type of surgery chosen. The best diet for weight loss focuses on nutrient-dense foods, and malabsorption after bariatric surgery is manageable with proper care. 

If you have a question that you would like answered on the podcast, comment on our website or any of our social media platforms.

On today’s episode we explore one of the most important yet often overlooked aspects of bariatric surgery—the emotional journey. While many focus on the physical transformation, it’s the emotional and mental changes that often determine long-term success. Bariatric surgery isn’t just about losing weight; it’s about reshaping your relationship with food and developing healthier ways to manage emotions.

The Emotional Impact of Bariatric Surgery

We’ll start by diving into the emotional impact of bariatric surgery. Many people use food as a way to cope with stress, sadness, or boredom. But after surgery, that emotional crutch isn’t available anymore. This shift can lead to feelings of frustration, anxiety, or even what’s known as "bariatric grief." In this episode, we discuss what it’s like to let go of old habits and how to find new ways to handle difficult emotions​.

Emotional Eating After Bariatric Surgery

One of the biggest challenges many people face post-surgery is emotional eating. Although your stomach is smaller and physically can’t handle the same amount of food, the emotional triggers that lead to overeating don’t just disappear. Emotional eating can show up in new ways, like making bad food choices. We’ll talk about how to spot these behaviors early and provide practical tips, such as keeping a food journal and working with a therapist, to address emotional eating head-on​.

Mental Health Support is Crucial

In this episode, we also cover why mental health support is so crucial after bariatric surgery. Many people go through a psychological evaluation before surgery, but the real emotional work often needs to happen afterward. We’ll explore how the adjustment to a new lifestyle can bring up anxiety, fear of weight regain, or feelings of frustration, and how important it is to develop healthy coping strategies. From practicing mindfulness and talking to a therapist to joining support groups, we discuss several ways to manage emotional ups and downs​​.

Community is Key

A key theme of today’s discussion is the importance of community. Having a strong support system can make all the difference in your post-surgery journey. Whether it’s friends, family, or a support group, feeling understood and supported plays a huge role in staying on track emotionally. We’ll share how connecting with others who are going through similar experiences can help you feel less alone and offer practical advice on building your own support network​.

Emotional Ramifications of Weight Regain

Lastly, we’ll touch on the reality of weight regain and why it’s important not to view it as a failure. Weight can fluctuate, but it’s part of the process. By focusing on your emotional well-being and continuing to build healthy habits, you’ll be better equipped to handle any bumps in the road without turning back to old, unhealthy patterns​.

So, whether you’re thinking about bariatric surgery, in the early stages of recovery, or years post-op, this episode offers valuable insights into managing your emotional health and navigating the mental challenges that come with such a life-changing procedure. Tune in for a conversation that will help you embrace your new, healthier life while taking care of your emotional well-being along the way!

Episode 44 of the Pound of Cure Weight Loss podcast offers a deep dive into cutting-edge treatments and strategies for long-term weight management, focusing on GLP-1 medications for weight loss, the emerging technology of duodenal mucosa ablation, and the issue of weight regain after GLP-1 treatment cessation. Hosted by Dr. Matthew Weiner, bariatric surgeon, and Zoe Schroeder, registered dietitian, this episode explores innovative methods to combat weight regain while delivering practical nutritional advice for sustained success.

The episode begins with a light conversation about nutrition, as Zoe highlights how bananas are often unfairly demonized. Dr. Weiner suggests a simple hydration solution—water and a banana—as a healthier alternative to processed electrolyte supplements, setting the tone for the podcast’s emphasis on whole, unprocessed foods.

Weight Regain After GLP-1 Medications

The focus then shifts to the weight regain after GLP-1 medications—a challenge faced by many patients after discontinuing these treatments. Dr. Weiner introduces Revita, a new device that uses duodenal mucosa ablation to help maintain weight loss following the cessation of GLP-1 drugs. Revita recently received FDA breakthrough device designation for its ability to treat patients who experience weight regain after stopping GLP-1 medications for weight loss. Dr. Weiner discusses how this endoscopic device works by ablating (burning) the mucosa in the duodenum, a section of the small intestine, potentially mimicking the effects of gastric bypass surgery. This approach aims to create a bypass-like effect without traditional surgery, helping to address the critical issue of weight regain after GLP-1 medication cessation.

Duodenal Mucosa Ablation - Skepticism and Safety Concerns

While Dr. Weiner expresses some skepticism about the theory behind the duodenal mucosa ablation, he acknowledges the potential of the Revita device, particularly given the high economic burden and ongoing shortages of GLP-1 medications for weight loss. He notes that while the data is promising, safety concerns—such as the risk of perforation and chronic inflammation—must be addressed before widespread adoption of this technology.

In addition to discussing duodenal mucosa ablation and the challenges of weight regain after GLP-1, Dr. Weiner and Zoe offer practical nutritional guidance. They emphasize the importance of long-term dietary changes, including incorporating more whole foods, fruits, and vegetables, especially for patients on GLP-1 medications for weight loss or recovering from weight loss surgery. The podcast underscores that successful weight management requires sustainable habits, from meal planning to making healthier choices amidst busy schedules.

As they wrap up the episode, Dr. Weiner and Zoe reflect on the future of obesity treatment, acknowledging that a combination of GLP-1 medications for weight loss, non-surgical techniques like GLP-1 medications and the duodenal mucosa ablation, and proper nutrition will continue to evolve. While these treatments are not magic solutions, they hold significant promise in tackling the persistent challenge of weight regain after GLP-1 cessation.

Episode 44 provides a valuable perspective on the latest developments in weight management, particularly for those using GLP-1 medications for weight loss or considering alternatives like duodenal mucosa ablation. Dr. Weiner and Zoe's thoughtful discussion offers essential insights for patients navigating the complexities of weight loss surgery, medication, and nutritional strategies for long-term success.

In this episode of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and Zoe Schroeder, RD, chat with Coach Dart—a seasoned fitness coach and vegan bodybuilder. This dynamic conversation explores vegan bodybuilding, injury prevention, the importance of flexibility, and why hiring a fitness coach can transform your fitness journey.

Meet Coach Dart: From Personal Trainer to Vegan Bodybuilding Pro

With a decade of experience in personal training, Coach Dart specializes in High-Intensity Interval Training (HIIT), athlete training, weight loss, and competition prep. Dart’s journey into veganism began eight years ago, transforming his health and fitness. A plant-based diet significantly improved his digestion, recovery times, and energy levels, proving that a vegan lifestyle supports intense athletic training.

Dart’s Nutritional Foundation:

• Protein-rich staples: Chickpeas, tofu, edamame, and beans.
• Clean eating focus: Prioritizing whole, minimally processed foods.
• Structured meal prep: Weekly meal plans tailored to fitness goals.

Vegan Bodybuilding: Fueling Performance Naturally

Dart dispels the myth that plant-based diets can’t provide adequate protein for bodybuilding. He emphasizes that vegan nutrition is not only sufficient but also optimal for muscle recovery and growth.

Key Tips:

1.      Hydration: Crucial for recovery and peak performance.

2.      Simplicity: Whole, unprocessed foods build sustainable eating habits.

The Importance of Hiring a Fitness Coach

Fitness coaches offer accountability, motivation, and expert strategies. Dr. Weiner and Dart highlight how professional coaching ensures proper form, tracks progress, and prevents injuries.

Top Benefits:

• Personalized programs that evolve with your needs.
• Expert support to help you stay consistent and confident.

Avoiding Injuries: Pro Tips from Coach Dart

Preventing injuries starts with warm-ups and knowing your limits. Dart advocates for progressive overload and the importance of recovery days.

Injury Prevention Strategies:

• Dynamic warm-ups, like stretching and light cardio.
• Gradual increases in workout intensity to build strength safely.

How to Become More Flexible: A Beginner’s Guide

Flexibility enhances physical performance and reduces injury risks. Dart emphasizes incorporating daily stretching and practices like yoga for long-term benefits.

Steps to Improve Flexibility:

• Combine static and dynamic stretches for optimal results.
• Stay consistent with daily routines, even if for 10 minutes.

Holistic Wellness: Connecting Veganism and Mental Health

Dart shares how a plant-based diet complements mental clarity and recovery. By reducing inflammation and encouraging mindful eating, veganism fosters both physical and mental health.

Takeaways

This episode underscores the value of sustainable habits, whether you’re curious about vegan bodybuilding, looking to avoid injuries, or aiming to enhance flexibility.

Tune in to the Pound of Cure Weight Loss Podcast to hear more about Dart’s inspiring journey and practical advice for lifelong wellness.

Welcome to episode 58 of the Pound of Cure Weight Loss Podcast, where Dr. Matthew Weiner and Zoe Schroeder dive into cutting-edge obesity treatments like GLP-1 medications (like Ozempic and Mounjaro) and their role alongside bariatric surgery and nutrition. This episode delivers insights into new research, nutrition strategies, and the future of affordable Semaglutide production.

GLP-1 Medications vs. Bariatric Surgery: A Data-Driven Comparison

A recent study presented at the American Society for Metabolic and Bariatric Surgery examined 40,000 participants’ weight loss outcomes across three approaches: lifestyle changes, GLP-1 medications, and bariatric surgery.

• Lifestyle changes led to 7% weight loss but most of the weight returned within four years.
• GLP-1 medications like Wegovy achieved 15-22% weight loss, though over 50% was regained upon stopping treatment.
• Bariatric surgery offered the most durable results, with gastric bypass patients maintaining 25% total weight loss after 10 years.

Dr. Weiner emphasized that combining these tools often yields the best results, rather than choosing one in isolation. “When used strategically, they complement each other to lower your metabolic setpoint effectively,” he explained.

Addition vs. Restriction: A New Approach to Dieting

Most diets focus on restriction, which fails over time. Instead, Zoe advocates for an addition mindset, emphasizing nutrient-dense foods like vegetables, lean proteins, and healthy fats.

“When you focus on what you can add rather than what you must cut out, it naturally crowds out less healthy choices and fosters a sustainable, positive mindset,” she explained.

Semaglutide’s Global Impact and the Rise of Generics

Dr. Weiner highlighted a groundbreaking development in the global production of Semaglutide. Due to a favorable ruling in India, generic versions could be available by 2026, potentially lowering costs significantly.

“This could be a game-changer for millions who currently can’t access Semaglutide,” Dr. Weiner noted, though challenges like cold-chain transport and international legality remain.

Nutrition Strategies for GLP-1 Success

For those using GLP-1 medications, Zoe shares essential dietary tips to optimize results and minimize side effects:

• Prioritize vegetables, fruits, lean proteins, nuts, seeds, and legumes.
• Avoid greasy and processed foods that can worsen nausea or digestive issues.

“This unprocessed, nutrient-dense diet mirrors the advice we give post-bariatric surgery patients,” Dr. Weiner added.

Key Takeaways

1.      GLP-1 Medications: Transformative but most effective when paired with proper nutrition and, in some cases, surgery.

2.      Restriction Diets Are Outdated: Adopt an addition mindset to foster long-term, sustainable success.

3.      Bariatric Surgery’s Durability: Surgery offers unmatched long-term weight loss results, especially when integrated with other tools.

4.      Affordable Semaglutide Is Coming: Generic production in India could reshape global access by 2026.

Final Thoughts

Episode 58 reveals the synergistic power of combining GLP-1 medications, bariatric surgery, and the right nutrition strategies. If you’re ready to take control of your metabolic setpoint, this episode provides the tools and insights you need.

In Episode 49 of the Pound of Cure Weight Loss Podcast, Dr. Weiner and Zoe examine the steep costs of obesity medications like Wegovy, the influence of pharmacy benefit managers (PBMs), and the role of big pharmaceutical companies in shaping healthcare. Highlighting recent Senate hearings led by Bernie Sanders with Novo Nordisk’s CEO Lars Fruergaard Jørgensen, this episode sheds light on how the current system prioritizes profit, often at the expense of patients’ access to care.

Wegovy Cost: Breaking Down High Prices in the U.S.

Wegovy, a GLP-1 medication, costs around $1,349 per month in the U.S., while in other countries like the U.K., prices are as low as $92. Dr. Weiner explains that this discrepancy illustrates a broken healthcare model, where the U.S. market fuels corporate profit but leaves millions unable to afford essential treatments. With 72% of Novo Nordisk’s revenue coming from U.S. sales, the company’s pricing strategy relies on American consumers, who are left paying significantly more for the same medications.

Big Pharma’s Influence on Policy and Profits

This episode delves into Big Pharma’s control over drug pricing, particularly the stark contrast between their research and development costs and their profits. For example, while Novo Nordisk spent $21 billion on R&D, they spent twice as much—$44 billion—on stock buybacks and dividends. Dr. Weiner highlights how political influence plays a crucial role, with both major parties receiving substantial donations from pharmaceutical companies, leading to stalled efforts in drug price regulation and patient access.

Pharmacy Benefit Managers (PBMs): Hidden Gatekeepers Driving Up Costs

PBMs, the intermediaries between insurers and pharmacies, are supposed to negotiate better prices, but Dr. Weiner and Zoe point out that they often drive costs higher through hidden fees. In many cases, PBMs have financial incentives to push higher-priced drugs, creating a “pay-to-play” system that limits patient access. For example, PBMs profit by taking a percentage of negotiated drug price savings, meaning higher drug list prices generate greater profits for them. Dr. Weiner underscores how PBMs complicate and inflate pricing, making it even harder for patients to get GLP-1 medications through insurance.

Do We Need Health Insurance Companies and PBMs?

Dr. Weiner questions the necessity of insurance companies and PBMs in the healthcare system, arguing that they don’t provide direct patient care yet extract billions from the system. He suggests that healthcare can function without these financial middlemen, allowing for a more transparent, patient-centered system where costs are lower and patients have better access to needed treatments.

The Morality of Obesity Treatment Costs

The episode closes with Dr. Weiner and Zoe discussing the stigma surrounding obesity and the moral implications of restricting access to life-changing medications like Wegovy. They emphasize that obesity is a complex, chronic disease requiring comprehensive treatment, not simply a “lifestyle” issue. Dr. Weiner advocates for recognizing obesity treatment as essential, which could lead to a shift in how these medications are accessed and covered.

Final Takeaways

While the healthcare landscape remains challenging, Dr. Weiner believes patient advocacy, legislative changes, and innovation can improve access to these life-saving treatments. This episode offers insights into navigating the current system while emphasizing the need for systemic change to prioritize patient health over profits.

In Episode 48 of the Pound of Cure Weight Loss podcast, Dr. Matthew Weiner and Zoe Schroeder explore the future of compounded GLP-1 medications, the dangers of the health halo effect, and debunk common diet myths that often lead to confusion for those trying to lose weight.

Compounded GLP-1 Medications: A Controversial Solution on the Brink of Extinction

Dr. Weiner and Zoe kick off the discussion by addressing the fate of compounded GLP-1 medications. Medications like Zepbound and Wegovy, FDA-approved for obesity, have faced shortages, leading to the rise of compounded alternatives. These non-FDA-regulated versions, sourced from China and mixed in US compounding pharmacies, have been a lifeline for patients who can't access the brand-name medications.

However, Dr. Weiner highlights that these compounded versions may soon become unavailable due to regulatory changes. Compounded GLP-1 medications can only be produced during shortages of the original drugs and with supply stabilizing, their production may soon be banned. Patients currently relying on compounded alternatives will need to explore other options, such as the Pound of Cure Weight Loss Platinum Program.

Diet Myths: Dispelling Common Misconceptions

Dr. Weiner and Zoe also tackle pervasive diet myths, particularly the belief that weight loss is simply a matter of calorie counting. This outdated “calories in, calories out” philosophy ignores the body’s hormonal responses to food. They explain that hormones like GLP-1, ghrelin and leptin play crucial roles in regulating hunger and metabolism, which is why focusing purely on calorie restriction often leads to failure.

Another myth they address is the idea that fat is the enemy. While processed and animal fats should be avoided, healthy fats from sources like avocados, nuts, and seeds are vital for long-term weight management. Additionally, Zoe clarifies that not all carbs are bad — distinguishing between refined carbs and whole-food sources like vegetables and legumes is key for sustained energy and weight loss.

The Health Halo Effect: How Marketing Tricks Consumers

The health halo effect is another topic of discussion, focusing on how food marketing can deceive consumers into making poor health choices. Labels such as “organic,” “vegan,” “low-carb” or “gluten-free” often create the illusion of health, even when the products are filled with sugar or unhealthy ingredients.

Dr. Weiner and Zoe stress the importance of avoiding these traps by focusing on real, unprocessed foods like vegetables, lean proteins, fruits, nuts, beans and seeds. This approach helps ensure that you’re making choices that genuinely support your health and weight loss efforts, rather than falling for misleading marketing.

Conclusion

In this episode, Dr. Weiner and Zoe offer valuable insights into the future of compounded GLP-1 medications, clarify persistent diet myths, and explain how the health halo effect misleads consumers. As the regulatory landscape changes and food marketing continues to evolve, staying informed and focusing on a balanced, whole-food diet is crucial to achieving long-term success in your weight loss journey.

In Episode 47 of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and Zoe Schroeder, RD dive into weight loss topics like compounded GLP-1 medications, ultra-processed foods and their link to heart disease, and processed meat alternatives. 

Ultra-processed Foods: Are Some Worse Than Others?

A recent study published in The Lancet found that ultra-processed foods make up a shocking 73% of the U.S. food supply, with significant consequences for heart health.

Dr. Weiner and Zoe discuss how this study highlighted an 11% increased risk of heart disease for those who consumed the most ultra-processed foods. The study particularly focused on the worst offenders: processed meats and sugar-sweetened beverages. These foods were shown to have the strongest links to heart disease.

One fascinating finding from the study is that not all ultra-processed foods have the same impact. When processed meats and sugary drinks are removed from the equation, the difference in heart disease risk between people who eat a lot of ultra-processed foods and those who don’t becomes much smaller. This reinforces the idea that not all ultra-processed foods are equal when it comes to heart disease risk. Avoiding processed meats and sugary drinks can significantly lower your risk, while focusing on healthier food choices can improve your long-term health.
 
 Nutrition and Heart Health: How to Eat Smarter

When it comes to improving heart health, Dr. Weiner and Zoe offer practical advice on what foods to choose instead of processed meats. Zoe emphasizes the importance of focusing on whole, unprocessed foods, such as:

• Fruits and vegetables: These are packed with vitamins, minerals, and antioxidants that help support heart health.
• Lean animal proteins: Opt for fish, chicken, and lean cuts of red meat as alternatives to fatty cuts of red meat and processed meats. These options provide high-quality protein without the unhealthy fats found in processed meats.
• Nuts and seeds: Rich in healthy fats, fiber, and protein, these are great plant-based alternatives to meat.
• Legumes: Beans, lentils, and chickpeas are nutrient-dense and provide a satisfying source of protein and fiber.

The key is to focus on nutrient-dense, whole foods rather than simply trying to restrict calories or follow fad diets. The Pound of Cure philosophy encourages a shift in mindset toward eating for nutrition and long-term health and weight loss rather than fast weight loss which will, ultimately, come back.

Zoe also mentions the importance of minimizing food noise—the constant mental distraction and cravings for unhealthy foods—by incorporating satisfying, high-quality meals into your daily routine. By making smarter food choices, you can naturally reduce your cravings for processed foods and improve both your heart health and overall well-being.

Replacing processed meats with nutrient-dense foods like fruits, vegetables, lean proteins, nuts, seeds, and legumes is a smart strategy for improving heart health and managing weight.

The Role of GLP-1 Medications in Weight Loss

The episode concludes with an in-depth discussion on the role of GLP-1 medications in weight loss, particularly focusing on the recent shortages and their implications. These medications, like Wegovy and Zepbound, have been highly sought after due to their ability to lower the body’s set point. However, earlier shortages led many patients to seek compounded versions of these drugs.

Dr. Weiner explains that compounded GLP-1 medications are custom-made by compounding pharmacies, which mix the active ingredients (Semaglutide or Tirzepatide) with saline, B12 or other additives. 

Release the GLP-1 Vials

The shortage of GLP-1 medications, like Wegovy and Zepbound, was primarily caused by the manufacturing of inj